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Old 08-08-2011
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Surgery Management of Perforated Appendicitis

Can anyone tell me the management of perforated appendicitis ?

I read in UW that you give IV fluid and cefotetan but Kaplan qbank is saying open appendectomy ...
Does hypotension affect the management ?

Thank you !!!
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Old 08-08-2011
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To my best knowledge...perforated appendicitic is an emergency so you treat with IV saline infusion and directly for surgery...
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Old 08-08-2011
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nil per oral
iv fluids
prophylactic antibiotics
emergency laprotomy
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Old 08-08-2011
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Thank you !!
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Old 08-08-2011
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You have to stabilize the patient before taking him to the OR.
SNAS.
Stabilize
NPO
Atb
Surgery
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Old 08-08-2011
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Quote:
Originally Posted by usmlekzz View Post
Can anyone tell me the management of perforated appendicitis ?

I read in UW that you give IV fluid and cefotetan but Kaplan qbank is saying open appendectomy ...
Does hypotension affect the management ?

Thank you !!!
maybe you read in uw that if the perforated appendix develops and abscess, then it's iv fluids and cefotetan followed by drainage of the abscess.
For overt perforated appendicitis, urgent surgery is needed to prevent the abscess formation. There won't be much of a hypotension in recently developed appendicitis unless septic shock develops, which takes some time.
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Old 08-09-2011
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surgery ASAP
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